Patient's question:
Initially, there were some very small bubbles around my vaginal opening, which didn't hurt, itch, or cause any sensation, but I still felt a bit concerned and went to the hospital. I had a routine vaginal discharge test done, which showed negative results for yeast, trichomonas, and bacteria. The cleanliness level was 1, except for two items showing a + sign. I felt I didn't have any significant issues, so the doctor didn't prescribe any medication, but said it was vulvitis. I bought a cleaning solution and started using it at 11 PM after it dissolved. At first, it felt tingly and cool, which was quite comfortable. After about half an hour, I started feeling a slight swelling, but I didn't take it seriously. Around midnight, I had sex with my husband once. After sex, I felt some discomfort due to the swelling and noticed some edema, which was unusual for me—swelling shouldn't occur after sex. After sleeping, the swelling persisted. I want to know what this could be—am I allergic to the cleaning solution? Besides that, I also want to ask about the small bubbles around my vaginal opening.Doctor's answer:
Considering the possibility of vaginitis, it is first necessary to conduct a thorough examination of vaginal discharge to determine the type. Then, different medications should be used based on the type.1. Trichomoniasis vaginitis is characterized by localized vaginal pain and the recurrence of thin, foamy vaginal discharge. Metronidazole can be taken orally, while local use of metronidazole suppositories is also recommended. Acidic solutions, such as povidone-iodine diluted 10-fold with water, can be used for rinsing.
2. Bacterial vaginosis, with mild symptoms, can be treated by rinsing with a 10-fold diluted povidone-iodine solution in water. For more severe symptoms, it is necessary to consult a specialist doctor to examine and confirm the infectious microorganisms, followed by oral medication for anti-infection treatment.